Perforated Goblet Cell Carcinoid Tumors of the Appendix: Navigating the Management Conundrum

被引:0
作者
Koganti, Suman B. [1 ]
Gilchrist, Brian F. [1 ]
Bell, Tresara C. [1 ]
机构
[1] Mt Sinai Hosp, Icahn Sch Med, Bronx Lebanon Hosp Ctr, Dept Gen Surg, New York, NY 10029 USA
关键词
Goblet cell carcinoid; Hyperthermic intra-peritoneal chemotherapy; Surveillance epidemiology and end results; Chromogranin; NEUROENDOCRINE; CHEMOTHERAPY; NEOPLASMS; DIAGNOSIS; ILEUM;
D O I
10.9738/INTSURG-D-17-00071.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Appendix is the most common site of occurrence for a goblet cell carcinoid tumor. A diagnosis of an appendiceal goblet cell carcinoid is made in retrospect the majority of the time. These tumors are best treated with a right hemicolectomy and adjuvant therapies tailored according to the presence or absence of residual disease. Presentation as a perforated appendix is seen in 16% of these tumors. The natural history and the ideal management strategy in such a scenario are not well described. In those with peritoneal spread cytoreductive surgery with HIPEC (hyperthermic intraperitoneal chemotherapy) offers the best disease-free and progression-free survival. Close follow-up with cross-sectional imaging helps in identifying recurrences at the earliest. Multimodality management involving patient participation in every aspect of care accomplishes high-value care in the treatment of these tumors.
引用
收藏
页码:131 / 136
页数:6
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